CPT 23472

Arthroplasty Glenohumeral Joint Total Shoulder

CPT 23472 pays $1,300.30 in a non-facility setting and $1,300.30 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,168.49 in Arkansas to $1,623.51 in Alaska, a 39% spread.

National non-facility rate

$1,300.30

Office and other outpatient settings

Facility rate
$1,300.30

Hospital and ASC settings

Highest state
$1,623.51

Alaska

Lowest state
$1,168.49

Arkansas · 39% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $1,300.30
CPT 23472 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $1,300.30, national facility $1,300.30.
StateRate compared visuallyNon-facilityFacility
Alaska
$1,623.51$1,623.51
Florida
$1,439.60$1,439.60
New York
$1,436.99$1,436.99
District of Columbia
$1,432.91$1,432.91
Illinois
$1,420.84$1,420.84
New Jersey
$1,404.10$1,404.10
Connecticut
$1,378.70$1,378.70
Washington
$1,353.02$1,353.02
Massachusetts
$1,351.63$1,351.63
Maryland
$1,339.39$1,339.39
California
$1,338.99$1,338.99
Michigan
$1,333.17$1,333.17
Rhode Island
$1,312.58$1,312.58
Georgia
$1,310.04$1,310.04
Pennsylvania
$1,307.94$1,307.94
West Virginia
$1,306.22$1,306.22
Colorado
$1,304.82$1,304.82
Puerto Rico
$1,302.89$1,302.89
Virgin Islands
$1,302.89$1,302.89
Montana
$1,300.01$1,300.01
New Hampshire
$1,299.88$1,299.88
Hawaii
$1,298.43$1,298.43
New Mexico
$1,293.56$1,293.56
Oregon
$1,289.01$1,289.01
Texas
$1,287.18$1,287.18
Delaware
$1,283.99$1,283.99
Nevada
$1,276.41$1,276.41
Louisiana
$1,269.39$1,269.39
Arizona
$1,265.88$1,265.88
Ohio
$1,263.71$1,263.71
Wyoming
$1,262.43$1,262.43
Missouri
$1,262.29$1,262.29
Utah
$1,259.41$1,259.41
Virginia
$1,250.11$1,250.11
South Carolina
$1,245.48$1,245.48
Kentucky
$1,239.76$1,239.76
Maine
$1,226.60$1,226.60
Vermont
$1,224.02$1,224.02
Oklahoma
$1,221.40$1,221.40
North Carolina
$1,218.66$1,218.66
North Dakota
$1,213.79$1,213.79
Minnesota
$1,210.36$1,210.36
South Dakota
$1,203.60$1,203.60
Mississippi
$1,201.98$1,201.98
Indiana
$1,193.77$1,193.77
Tennessee
$1,193.39$1,193.39
Idaho
$1,188.84$1,188.84
Kansas
$1,186.41$1,186.41
Alabama
$1,182.86$1,182.86
Wisconsin
$1,181.30$1,181.30
Nebraska
$1,176.31$1,176.31
Iowa
$1,175.60$1,175.60
Arkansas
$1,168.49$1,168.49

Billed by 1 specialties

Commercial rates for 23472

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates